Clinical Neurological Function Deficit Score for Chinese Stroke Patients

I. Consciousness (Maximum Stimulation, Best Response)

1. Questions: ① Age; ②: What month is it now? A difference of 2 years or 1 month is considered correct

Please select

Questions: ① Age; ②: What month is it now? A difference of 2 years or 1 month is considered correct

Both correct

One correct

2. Two commands: Make a fist, Extend palm, Open eyes, Close eyes (can demonstrate)

Please select

Two commands: Make a fist, Extend palm, Open eyes, Close eyes (can demonstrate)

Both completed

One completed

Neither completed, proceed to the following check

3. Strong local stimulation of the healthy limb

Please select

Strong local stimulation of the healthy limb

Directional avoidance

Directional limb withdrawal

Limb extension

No response

II. Horizontal Gaze Function

Please select

Horizontal Gaze Function

Normal

Limited lateral gaze function

Lateral gaze of the eyeball

III. Facial Paralysis

Please select

Facial Paralysis

Normal

Mild paralysis, can move

Complete paralysis

IV. Language

Please select

Language

Normal

Some difficulty in conversation, needs to use facial expressions or gestures; or fluent but hard to understand, many errors

Can communicate simply, but difficult to repeat, language is circuitous, has naming difficulties

Incoherent

V. Upper Limb Muscle Strength

Please select

Upper Limb Muscle Strength

Ⅴ Normal

Ⅳ Cannot resist external force

Ⅲ Raise arm above shoulder

Ⅲ Shoulder level or below

Ⅱ Arm-trunk angle > 45°

Ⅰ Arm-trunk angle ≤ 45°

VI. Hand Muscle Strength

Please select

Hand Muscle Strength

Ⅴ Normal

Ⅳ Cannot make a tight fist

Ⅲ Make an empty fist, can open

Ⅲ Can flex fingers, cannot extend

Ⅱ Can flex fingers, cannot make a fist

Ⅰ Slight finger movement

VII. Lower Limb Muscle Strength

Please select

Lower Limb Muscle Strength

Ⅴ Normal

Ⅳ Cannot resist external force

Ⅲ Raise leg above 45°, ankle or toes can move

Ⅲ Raise leg around 45°, ankle or toes cannot move

Ⅱ Raise leg less than 45° off the bed

Ⅰ Horizontal movement, cannot lift

VIII. Walking Ability

Please select

Walking Ability

Normal walking

Independent walking over 5m, limping

Independent walking, needs a cane

Can walk with support from others

Can stand alone, cannot walk

Can sit without support, but cannot stand

Bedridden

Score:

Result Interpretation

0-15 points: Mild neurological function deficit;

16-30 points: Moderate neurological function deficit;

31-45 points: Severe neurological function deficit.

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